<abstract xmlns="http://www.w3.org/1999/xhtml"><p> The purpose of the study is to compare the outcomes of surgical interventions for acute appendicitis with the values of the Alvarado score. We conducted the study on 572 patients that underwent surgical interventions for acute appendicitis. Retrospectively, based on the medical records, we calculated the MANTRELS score and compared the outcomes of the intervention with the values of the applied score. Almost one third of the patients with a MANTRELS score lower than 6 had negative appendectomies. These patients represent 60% of the total cases of negative appendectomies, while in the case of patients with a high score around 2% had negative appendectomies. We concluded that using this scoring system to assess the need of immediate surgical intervention is important and can increase the rate of positive diagnosis mainly by limiting the number of unnecessary interventions.</p></abstract>

The purpose of the study is to compare the outcomes of surgical interventions for acute appendicitis with the values of the Alvarado score. We conducted the study on 572 patients that underwent surgical interventions for acute appendicitis. Retrospectively, based on the medical records, we calculated the MANTRELS score and compared the outcomes of the intervention with the values of the applied score. Almost one third of the patients with a MANTRELS score lower than 6 had negative appendectomies. These patients represent 60% of the total cases of negative appendectomies, while in the case of patients with a high score around 2% had negative appendectomies. We concluded that using this scoring system to assess the need of immediate surgical intervention is important and can increase the rate of positive diagnosis mainly by limiting the number of unnecessary interventions.

Alvarado score: can it reduce unnecessary interventions for acute appendicitis in children?

ARS Medica Tomitana

This work is licensed under the Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 License.

The purpose of the study is to compare the outcomes of surgical interventions for acute appendicitis with the values of the Alvarado score. We conducted the...

Alvarado score: can it reduce unnecessary interventions for acute appendicitis in children?

Published Online: Sep 02, 2017

Page range: 115 - 120

DOI: https://doi.org/10.1515/arsm-2017-0020

Keywords
MANTRELS, Alvarado score, acute appendicitis, negative appendectomy

© by S. Chirila

This work is licensed under the Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 License.

Alvarado score: can it reduce unnecessary interventions for acute appendicitis in children?

Published Online: Sep 02, 2017

Page range: 115 - 120

DOI: https://doi.org/10.1515/arsm-2017-0020

KeywordsMANTRELS, Alvarado score, acute appendicitis, negative appendectomy

© by S. Chirila

This work is licensed under the Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 License.

Keywords
MANTRELS, Alvarado score, acute appendicitis, negative appendectomy